Organization
COMMUNITY HOSPITALS OF INDIANA, INC.
Active
Other names
Transitional Care Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS P. FISCHER (CHIEF FINANCIAL OFFICER)
(317) 355-4887
Entity
Organization
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-4111
Mailing address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-4111
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005068-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001502
MPLAN PROVIDER NUMBER
—
01
—
000000106937
ANTHEM PROVIDER NUMBER
—
01
—
6260365
AETNA PROVIDER NUMBER
—
01
—
8361750
PROHEALTH PROVIDER NUMBER
—
Enumeration date
02/01/2006
Last updated
08/22/2020
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